Individual
MR. SEAN RAYMOND SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC
Contact information
Practice address
1290 SUMMER ST STE 2000, STAMFORD, CT 06905-5339
(203) 989-2691
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
13432
CT
225100000X
Physical Therapist
Primary
21328
MA
Other
Enumeration date
08/15/2014
Last updated
04/10/2023
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